Ukwahlukanisa periodontitis, izimbangela, uphethwe, ukuphathwa

Nokho, lapho aso smile enhle futhi unempilo futhi siyakhazimula. Kodwa, ngeshwa, abaningi bethu ukufeza konke lokhu, kudingeka senze okuningi umzamo zezimali kanye eside, ngoba amazinyo ababi - akusiyo isici nje yezimonyo, kubuye kube nokuhlupheka babulawa. Ushevu ezimpilweni zethu, ngaphandle caries owaziwa, nezinye izifo eziningi yamazinyo, enye yazo periodontitis. ukubonakaliswa kwayo nezindlela zokwelashwa kuxhomeke ezicini eziningana. Ukuze ngandlela-thile ukuhlela izimpawu nokuthuthukisa nesu ekwelapheni izimo ezifanayo, kukhona ngezigaba periodontitis. Kuleli zwe yasungulwa ezimbalwa, kodwa eRussia ngokuyinhloko ekusebenziseni lesi simiso lapho lakhiwa Lukomskim I. G. zama ukuchaza ngokucacile ukuthi kuyini.

periodontitis

Ngaphambi ukungitshela ukuthi yini Ukwahlukaniswa periodontitis, ake ukubhekana nje kwesifo ngokwaso. Abantu ngokuvamile ukudida ngayo periodontitis, noma ungayiboni umehluko, ngoba amagama abo iyefana kakhulu. Eqinisweni, periodontitis kubangelwa izinkinga periodontium - lonke uhlelo kwezicubu ezahlukene, ukuqinisa amazinyo ethu izimbobo emhlathini (alveoli). Periodontal - omunye izingxenye uhlelo emikhulu. Kuyinto izicubu noma svyazochki bangazihluphi isikhala phakathi plate kanye alveolus we usimende izinyo impande. I ukushuba we periodontal 0.2 kuphela mm, kodwa wachaza ukuthi uqhuba amazinyo ethu ku-alveoli, ngokulinganayo ihambisa umthwalo phakathi alveoli kanye izinyo uma ukuhlafuna, ithwala imisebenzi yemizwa, evikelayo trophic. Uma nganoma isiphi isizathu, periodontium elikhanyayo, lesi sifo iqala periodontitis apical. Kungaholela Imiphumela ngeshwa kakhulu, kuze kube nokulahlekelwa ngezinyo, ngakho-ke kubaluleke kakhulu ukwazi izizathu udaba lwakhe futhi izimpawu sici.

Ifomu okukhulu isifo periodontal, isinyathelo sokuqala

Kwezokwelapha, phakathi izifo eziningi ihlukanise izinhlobo ezihlobene nezimbangela zabo (omsakazo) kanye nemvelo esilazayo (pathogenesis). Lokhu kusiza kakhulu uphethwe futhi, ngenxa yalokho, kusiza ukubamba ukwelashwa ngendlela efanele. Ukwahlukanisa periodontitis pathogenesis inike 2 yamafomu - omunye okubabayo, omunye ezingamahlalakhona.

Ngaphezu kwalokho periodontitis acute has izigaba ezimbili - serous (kuqala) kanye ubovu (wesibili). Endabeni wokuqala, ubhekana eziningi ubuhlungu izinyo kusuka kunoma iyiphi touch, kodwa ngesikhathi esifanayo isiguli uyakwazi ukubonisa ngokucacile lapho kubuhlungu. Lesi simo singase sithathe izinsuku eziningana noma amasonto amabili. Udokotela ngesikhathi kuhlolwa ubona bekezela ngaphakathi the izinyo caries imbobo, kodwa abathola wakhe kabi isiguli akakubangeli. Kuvele uphawu ebalulekile periodontitis acute ubhekwa ukuvuvukala emhlabeni lwamafinyila inkinga izinyo. Ukwelapha siqukethe ekususeni sibhajwe impande canal izifo kanye ukubekwa uphawu okwalandela. Ngakho kubalulekile ukuba enze ukususwa emsipheni, iziteshi ngokuphelele athutha sihlanza zokukhipha igciwane bakuphathe periodontal izinyo izinga uphawu.

Ifomu acute, esigabeni sesibili

Lesi sifo ubizwa nangokuthi acute ubovu periodontitis. Kungaba ukuthuthukisa kusuka periodontitis serous, uma iphathwa kahle, noma cha kuze kube sekupheleni. Iziguli nale ubuhlungu unamandla kakhulu, ejabhile, edwengula, sibi kusukela kunoma iyiphi touch okukhishwa (isiguli ayikwazi sisho lapho kubuhlungu).

Ngaphezu kwalezi, kukhona nezinye izimpawu:

- umkhuhlane;

- ikhanda;

- ukuvuvukala izinsini, futhi ngezinye izikhathi izihlathi;

- lokushisa;

- ngezinye izikhathi ukuhamba izinyo.

On luhlolo ngokuvamile kwembula ukuthi izinyo ezidabukile is ngokugcwalisa kakade noma kuye efake umqhele. Indlela ukwelapha izinyo kulesi simo? Umsebenzi oyinhloko udokotela ukususwa ubomvu kanye nokuqukethwe itheleleke we-canal impande, ukususwa ukuvuvukala olukhiqizwa nge yokwelapha izidakamizwa futhi ukuze athole ukwelashwa komzimba. Iphela ukwelashwa lwezimpawu zesiteji. Uma kwamazinyo engelapheki, esase.

Okungalapheki periodontitis fibrous

Ngaphezu acute, kukhona periodontitis okungamahlalakhona, eligeleza asinazo izimpawu ebonakalayo futhi unomuzwa wokuthi kunzima kakhulu ukuxilonga. Ukwabela ezifana izinhlobo:

- fibrous;

- granulomatous;

- granulating.

Womathathu la mafomu kungaba nzima ukuhlukanisa "by iso", ngakho uphethwe Kwenziwa ngosizo-X-ray tomography ngezinye izikhathi. Njengomthetho, periodontitis ezingamahlalakhona kuzibonakalisa kuphela ngezikhathi exacerbation. Lapho ifomu fibrous amazinyo isiguli, iziguli zingase abe ethé ukuhluka kancane, ithoni mnyama ngaphezu enempilo, ungase futhi ulethe omunye ukuzwela okuncane kakhulu nokuhlafuna nzima ukungakhululeki kuyaqondakala. Ukwelashwa nokuvikelwa lolu hlobo nobunzima isifo ngokuvamile kubangela akukho. Ekuhambeleni kokuqala kwenziwa ekususeni fibrous uginindela ingxenye, iziteshi ukunwetshwa, nokususa ezinzwa (ngaphansi izinzwa) kanye ukugcwaliswa okwesikhashana "Metapeksom". 3-7 izinsuku kuvulwe iziteshi ezintsha, susa mathiriyeli, abe uphawu unomphela. Uma izinyo ngemva kokuqala iqala ukulimaza, ingaphakathi layo ivulekile futhi uvuliwe ukuze izinsukwana okuyiwona isiguli uqhutshwa ukwelashwa.

Okungalapheki periodontitis granulomatous

Lapho ifomu granulomatous emhlabeni umgodi periodontal kwakhiwa ekhethekile - granuloma, neze kokunikeza noma iyiphi izimpawu, kodwa ngezinye izikhathi kunezindlela izikhalazo iziguli ezinye ukuzwela izinyo lesiguli. Granulomas emgodleni Imicu yotshani zimumethe izicubu lunemicu okuvame ikhula phakathi periodontium. Bonisa lesi can ze-X ray. Ngezinye luhlolo yomtholampilo, udokotela uthola ukugqashuka uphawu noma enkulu carious imbobo ukuma ngaphansi kophawu noma umqhele, kodwa ukudlula isiguli iziteshi Uphenyo ubuhlungu akakubangeli. Indlela ukwelapha izinyo kuleli cala futhi ukuthi kubalulekile ukuba senze kanjalo uma azikho izikhalo? Ukwelapha kubalulekile periodontitis okungamahlalakhona hhayi yaba ebukhali hhayi ukulahlekelwa izinyo. Therapy ukushabalalisa umthombo ukutheleleka. Ngu izinkomba eyenziwa ukwelashwa endodontic (classical) nge ukuhlanzwa by efile iziteshi ezicutshini futhi uphawu phambili, kodwa, uma le ndlela asikho yalokho, ngokuqhubekayo asebenza kokungenela kuhlinzwa ezifana resection we izinyo kunalokho resection ithiphu impande eziyinkinga bese ukususwa eduze kwezicubu hemisection noma ukuhlala ngokwahlukana yenhliziyo-radicular.

Okungalapheki periodontitis granulating

Leli fomu libhekene exacerbations njalo, futhi fistula kumiswa ezicutshini periodontal. Ngokuvamile, iziguli esekhala ubuhlungu izinyo, ne ingcindezi enkulu ku-ke (ukuhlafuna). Ngokuvamile izindawo inkinga enyameni ezungezile mucosal avuvukele, babe ukuvuvukala, fistula, okungase aphume ashone kusukela granulosa izicubu, ubomvu. Iphenya Channel futhi palpation of izinsini kungaba buhlungu. Ukwelashwa kufana eyodwa eyenziwa ngaleso periodontitis granulosa. Udokotela wenza ukwelashwa endodontic, futhi uma kwenzeka akunakwenzeka ubambe resection izinyo (impande yawo isihloko), excision wako noma hemisection. Kumele kukhunjulwe ukuthi izizathu granulating periodontitis ingavuthi ukunakekelwa singenele zamazinyo Ukungena ku ukutheleleka periodontal, futhi ngaphezu kwalokho, malocclusion, isifo sikashukela kanye nezinye izifo. Uma granulating periodontitis uqale ukwelashwa ngesikhathi, izinyo ungasindiswa.

Ukwahlukanisa periodontitis ku etiology lesi sifo

Kuye izimbangela periodontitis, amafomu alandelayo:

- Izifo ezithelelanayo;

- kuhlasimulise;

- imithi yabo.

Izingane ku etiology nesenzakalo of periodontitis kakhulu igciwane lapho ama biogenic noma amagciwane kanye ubuthi babo zingene ukugijima periodontal ka izimbotshana.

periodontitis ezithathelwanayo

Call lolu hlobo sifo nezilwanyana ezincane ezihlukahlukene (streptococci, veylonelly, isikhunta imvubelo kanye nabanye), okuyinto zingene kwezicubu periodontal kusuka komsele impande, gingival ephaketheni ezizungezile izicubu kanye igazi noma i-lymph lapho izifo hhayi namazinyo ezihlobene (typhoid, imfuluwenza sepsis , sinusitis). amazinyo abukhali - uphawu oyinhloko sifo. Ngokuvamile e exudate periapical aqoqana, ngaphandle nibonakala kubantu nilungile, uzwakalise lwamafinyila ukuvuvukala izihlathi, futhi kusukela umsele impande kukhona iphunga Putrid. Ukwelashwa okufanele kwenziwe kuphela ngochwepheshe, okuyinto kufanele baphathwe isikhungo kwamazinyo. Kukhona kungenzeka ukuthola uhla egcwele services zokwelapha, ezihlanganisa ukuvivinya kazibuthe kanye laser. Ukugcwalisa impande emiseleni, zazo compulsorily isuswe kwenzwa wenza umuntu wokuqala, futhi ngokuvamile hhayi okwesibili. Udokotela ubophekile ukuba ashiye izinyo livulekele ukuhoxiswa egcwele uketshezi, enze isiteshi magciwane, futhi kuphela ke wabeka uphawu. Uma yokwelapha akubi nemiphumela, izinyo ezimbi isusiwe.

periodontitis Kwenhlekelele

Isizathu salokhu uhlobo lesi sifo yilabo ezihlukahlukene ukulimala mechanical izinyo ukuthi kungenzeka uma izenzo ezilandelayo:

- chofoza amazinyo noma amakinati imbewu;

- snacking ngentambo, ngocingo;

- nokungababekezeleli ukuhlanzwa namazinyo usebenzisa Floss kwamazinyo;

- bhaklu contusion;

- sokwenziwa kahle ingashintshwa (ukukhonza noma cha zifakwa ngaphansi dentition umqhele);

- ophumile uphawu.

Konke lokhu kungabangela ukuvuvukala phezulu (kancane kaningi e abekelwe emaceleni) izingxenye ubuhlungu periodontal, ukopha izinsini ekugcineni eziya ziba zimbi ka periodontitis. Ukwelashwa Kwenziwa ngokuvumelana izinkomba, kodwa into ebalulekile ukuthi lena Lapho ngiqala ukuyobona i yamazinyo lesiguli - ukuqeda umthombo ukulimala (ukususa ingxenye ophumile kophawu, ulungise umqhele).

periodontitis yezokwelapha

Le ndlela lesi sifo kungavuka ngokusebenzisa iphutha udokotela noma isiguli. Ngokuvamile, imithi iqondiswa ekwelapheni indawo periodontal (isib, i-arsenic, piotsin), okuyinto ibulala imiselekazi impande. Umphumela ushise kwezicubu ezungeze ngezinyo, noma ngisho sekufeni kwabo, futhi periodontitis izidakamizwa olubangelwa ezinganeni kungaholela ekubhujisweni kwesimiso rudiment amazinyo unomphela esizayo. Ngakho-ke, kubalulekile ukuba zisebenze isikhungo amazinyo lapho kuqubuka lesi sifo.

Futhi periodontitis yezokwelapha kungadalwa isicelo yesiguli ngoba amazinyo ukuhlanzwa ayinhlama equkethe formalin, tricresol nokunye okunjalo. Izimpawu zesifo yilezi:

- strong ubuhlungu izinyo eziyinkinga;

- ezidabukile wonke emhlathini noma ingxenye, lapho esikhipha izinyo eziyinkinga;

- ukuhamba izinyo lesiguli.

I kwelashwa ukususa izimbangela ukuvuvukala kule izinyo kanye nokwethulwa izidakamizwa (imithi elwa namagciwane, sulfonamides), ofakwe. Ngemva nokuqedwa ukuvuvukala ukukhiqiza uphawu izinyo.

Izinhlelo ezivimbayo futhi Izibikezelo

Njengoba kuboniswa ososayensi yamuva ucwaningo, ngoba umuntu ngamunye kubalulekile ngempela okwelapha zonke izifo amazinyo, ikakhulukazi periodontitis. Sifo kumele kusekelwe luhlolo emitholampilo izinyo eziyinkinga X-ray noma isithombe-panoramic, okuyinto ibonisa degree of inkinga (suppuration, ithambo ekubhujisweni nabanye). Kuyadingeka ukuba ukhethe impatho efanele futhi ephumelelayo, njengoba ungakaqedi ukuphathwa ikhambi noma periodontitis imiphumela ukuphuma amazinyo. Abanye abakucabangi ke ukubaluleka kakhulu, ucabangela isici yezimonyo kuphela. Kodwa ososayensi baye bathola ukuthi ukungabi kuleli dentition amazinyo 5 kuphela cishe 140% anda ingozi yokushaywa unhlangothi kanti isilethikusebenza. Lokhu usumisiwe empirically. Lolu cwaningo abathintekayo abantu abangaphezu kuka 8000 bobudala obungefani. Kungani ukuntuleka namazinyo zilulaza ukusebenza inhliziyo, kuyilapho kwakungenakwenzeka ukuthola.

Njengoba nokuvinjelwa periodontitis, odokotela belulekwa ukuba njalo hlola isimo amazinyo, ukuze bagcine imithetho kwenhlanzeko amazinyo nomlomo, sigweme izenzo izinyo kuhlasimulise koqweqwe lwawo futhi lonke izinyo wonkana, futhi lapho kuqubuka lesi sifo hhayi ukuzithiba medicate, futhi uxhumane yamazinyo.